Malaria is a parasitic infection transmitted by the bite of a certain type of mosquito. In extremely rare cases people can get malaria from coming in contact with infected blood. This disease affects millions of people each year and can be found in over 90 countries worldwide. Though travelers to areas where malaria is present often take medicines before, during and after their trip, these medicines do not always work. In addition, it is important to note that a person can be infected and still remain symptom free. Currently, donated blood is not tested for malaria. Thus, it is very important that we question all donors as to WHERE and WHEN they traveled. Travelers to “at risk” areas are required to refrain from donating blood for specified periods in order to minimize the risk of transmitting malaria through a blood transfusion. When questioning the donor about malarial travel, the following information is required: 1. The name of the country 2. ALL specific areas (region and/or city) visited, if less than 12 months from departure 3. The amount of time spent in the malaria endemic country 4. The date the donor left the malaria endemic country NOTE: If the name of the city or region in a specific country is not listed or is unclear after review of the criteria, have the Person-in-Charge/Designee consult the Regional Collections manager or Special Donor Services (SDS) for clarification. If unable to obtain clarification, defer the donor for the length of time required for malarial travel. Explain to the donor that he/she is deferred. Give him/her the reason for deferral with instructions to call SDS the next business day. SDS can help determine the donor’s eligibility status and remove any deferral as appropriate.

MALARIA NOTE COUNTRY RISK Afghanistan Yes All areas at risk. Albania No Algeria No Samoa, American (U.S.) No Andorra No Angola Yes All areas at risk. Anguilla (U.K.) No Antarctica No Antigua and Barbuda No Argentina No Armenia No Aruba No Austral Islands (Tubuai, No Rurutu) Australia, including Cocos No (Keeling) Islands Austria No Azerbaijan No Azores (Portugal) No Bahamas No Bahrain No Bangladesh Yes Risk in all areas except no risk in city of Dhaka Barbados No Belarus No Belgium No

MEH NY-JA-0312 Page 1 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Belize No

Benin Yes All areas at risk. Bermuda (U.K.) No Bhutan No Bolivia Yes Risk in all areas except no risk in the city of La Paz. Bonaire No Bora Bora (Society Islands) No Bosnia/Herzegovina No Botswana Yes Risk in the following districts: Botete, Chobe (including Chobe National Park), Ngami, Okavango, Tuteme, Bobirwa, Northeast (including Francistown), Ghanzi, Mahalapaye, and Serowe Palapye. None in the city of Gabarone. Brazil Yes Risk in States of Acre, Amapá, Amazonas, Rondonia, Roraima, Maranhão, Mato Grosso, and Para. No transmission at Iguazu Falls. British Indian Ocean No Territory (includes Diego Garcia) UK Brunei No Bulgaria No Burkina Faso Yes All areas at risk. Burma (Myanmar) Yes Risk in all areas Burundi Yes All areas at risk. Cambodia Yes Risk throughout the country including Siem Reap city. No risk at the temple complex at Angkor Wat. None in the city of Phnom Penh Cameroon Yes All areas at risk. Canada No Canary Islands (Spain) No Cape Verde Islands No Cayman Islands (U.K.) No Central African Republic Yes All areas at risk. Chad Yes All areas at risk. Chile No China No Christmas Island (Australia) No Cocos (Keeling) Islands No (Australia) Colombia Yes All areas at risk except none in Bogotá, Cartagena and Medellin. Comoros Yes All areas at risk.

MEH NY-JA-0312 Page 2 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Congo (Republic of; Congo- Yes All areas at risk. Brazzaville)

Congo (Democratic Republic Yes All areas at risk. of; Congo-Kinshasa) Cook Island (New Zealand) No Costa Rica No Côte d'Ivoire (Ivory Coast) Yes All areas at risk. Croatia No Cuba No Curacao No Cyprus Yes Risk in Esentepe (aka Agios Amvrosios) in the Kyrenia District (located in northern Cyprus) Czech Republic No Denmark No Djibouti Yes All areas at risk. Dominica No Dominican Republic Yes Risk in the provinces by the border with Haiti and the provinces (including resort areas) of Santo Domingo and La Altagracia. No risk in the city of Santo Domingo (Distrito Nacional) and other provinces. Dubai (UAE) No East Timor (Timor-Leste) See Timor-Leste Easter Island (Chile) No Ecuador Yes All areas at risk except no risk in Guayaquil, Quito and the Galapagos Islands. Egypt No El Salvador No Equatorial Guinea Yes All areas at risk. Eritrea Yes All areas at risk except no risk in Asmara. Estonia No Ethiopia Yes All areas at risk except no risk in in Addis Ababa. Falkland Islands (U.K.) No Faroe Islands (Denmark) No Fiji No Finland No No Yes All areas including Matoury, , and , except none in coastal areas west of Kourou and city. French Polynesia (includes No Austral, Marquesas and Society Islands) Gabon Yes All areas at risk. Gambia Yes All areas at risk. Georgia No Germany No MEH NY-JA-0312 Page 3 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Ghana Yes All areas at risk. Gibraltar (U.K.) No Gilbert Islands (see Kiribati) Greece No Greenland (Denmark) No Grenada No Guadeloupe (France) No Guam (U.S.) No Guatemala Yes Risk in rural areas. No risk in Guatemala City, Antiqua or Lake Atitlan. Guinea Yes All areas at risk. Guinea-Bissau Yes All areas at risk. Guyana Yes Risk in all areas except cities of Amsterdam and Georgetown Haiti Yes All areas at risk. Honduras Yes Risk throughout the country and in Roatán and other Bay Islands. No risk in San Pedro, Sula and Tegucigalpa. Hong Kong (China) No Hungary No Iceland No India Yes Risk in all areas Indonesia Yes - Risk in rural areas of Sumatra, Sulawesi, Kalimantan (Borneo) and Nusa Tenggara Barat (including island of Lombok). - Risk in all areas of eastern Indonesia (provinces of Maluku, Maluku Utara, Nusa Tenggara Timur, Papua and Papua Barat) including town of Labuan Bajo and Komodo Islands in the Nusa Tengarra region. - Risk in rural areas of Java, including Ujung Kulong, Sukalumi and Pangadaran. - No risk in cities of Jakarta, Ubud or resort areas of Bali and Java, Gili Islands and the Thousand Islands (Pulau Seribu). Iran Yes Risk in rural areas of Fars Province, Sistan-Baluchestan Province and the southern tropical part of Kerman and Hormozgan province. Iraq No Ireland No Israel (including West Bank No and Gaza) Italy including Holy See No (Vatican City) Ivory Coast See Côte d'Ivoire Jamaica No Japan No Jordan No Kazakhstan No Kenya Yes Risk in all areas (including game parks). Risk in the city of Nairobi. Kiribati (formerly Gilbert No Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)

MEH NY-JA-0312 Page 4 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Korea, Democratic People's Yes Risk in southern provinces. Republic of (North)

Korea, Republic of (South) Yes Rural areas in the northern parts of Incheon, Kyonggi-do and Kangwon-do provinces including the demilitarized zone (DMZ). Kosovo No Kuwait No Kyrgyzstan No Laos (People's Democratic Yes Risk in all areas except no risk in city of Vientiane. Republic) Latvia No Lebanon No Lesotho No Liberia Yes Risk in all areas. Libya No Liechtenstein No Lithuania No Luxembourg No Macao SAR (China) No Macedonia No Madagascar Yes Risk in all areas except in Antananarivo. Madeira Islands (Portugal) No Malawi Yes Risk in all areas. Malaysia Yes Risk in rural areas. None in Georgetown, Kuala Lampur, and Penang State (includes Penang Island). Maldives No Mali Yes Risk in all areas. Malta No Marshall Islands No Martinique (France) No Mauritania Yes All areas except Dakhlet-Nouadhibou and Tiris-Zemour in the north. Mauritius No Marquesas (Hiva Oa, Ua No Huka) Mayotte (French territorial No collectivity)

MEH NY-JA-0312 Page 5 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Mexico Yes Risk limited to: Present in the states of Chiapas and Chihuahua. (see map page 10). No malaria risk exists along the United States-Mexico border. The following frequently visited areas are not considered at risk for malaria transmission: Aguascalientes, Acapulco, Baha Peninsula, Cabo San Lucas, Cancun, Chichen Itza, Ciudad Juarez, Caudal Obregón, Costa Maya, Cozumel, Cuernavaca, Ensenada, Guadalajara, Guaymas, Hermosillo, Isla Mujeres, Ixtapa, La Paz (Baja), Matamoros (border town), Merida, Mexicali, Mexico City, Monterrey, Morelia, Nogales (US border), Nuevo Laredo, Piedras Negras (border town), Playa del Carmen, Progresso, Puebla, Puerto Vallarta, Queretaro, Reynosa, Riviera Maya, Saltillo, San Felipe (Baja), San Luis Potosi, Santa Ana, Tampico, Tijuana, Torreon, Toluca, Tulum (city and ruins), Veracruz, Xcaret and Zihuatenejo. Micronesia, Federated States No of (includes Yap Islands, Pohnpei, Chuuk and Kosrae) Midway Island No Moldova No Monaco No Mongolia No Montenegro No Montserrat (U.K.) No Moorea (Society Islands) No Morocco No Mozambique Yes Risk in all areas. Namibia Yes Present in the provinces of Kavango (East and West), Kunene, Ohangwena, Omusati, Oshana, Oshikoto, Otjozunjupa, and Zambezi. No malaria in city of Windhoek Nauru No Nepal Yes Risk throughout country except no risk in Katmandu or typical Himalayan treks. Netherlands No Netherlands Antilles No New Caledonia and No Dependencies (France) New Zealand No Nicaragua Yes Risk in Región Autónoma Atlántico Norte (RAAN) and Región Autónoma Atlántico Sur (RAAS). No risk in the city of Managua Niger Yes Risk in all areas. Nigeria Yes Risk in all areas. Niue (New Zealand) No Norfolk Island (Australia) No Northern Ireland (U.K.) No Northern Mariana Islands No (U.S; includes Saipan, Tinian and Rota Island) Norway No Oman No

MEH NY-JA-0312 Page 6 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Pakistan Yes Risk in all areas. Palau No Palestinian Territories No (including West Bank and Gaza) Panama Yes Present in the provinces of Darien, Guna (Kuna) Yala, Ngabe Bugle, and Panama Este. None in western Panama Province, the canal zone, and Panama City. Papua New Guinea Yes Risk in all areas. Paraguay No Peru Yes Risk in all departments, including cities of Puerto Maldonado, Iquitos and the remote eastern regions of La Libertad and Lambayeque. None in the following areas: Lima province; the cities of Arequipa, Ica, Moquegua, Nazca, Puno, and Tacna; the highland tourist areas (Cuzco, Machu Picchu, and Lake Titicaca); and along the Pacific Coast. Philippines Yes Risk in Palawan and Mindanao Islands. No risk in metropolitan Manila and other urban areas. Pitcairn (U.K.) No Poland No Portugal No Puerto Rico (U.S.) No Qatar No Reunion (France) No Romania No Russia No Rwanda Yes Risk in all areas. St. Barthelemy (Guadeloupe) No Saba (Neth) No Saint Christopher (Saint Kitts) No and Nevis (U.K.) Saint Eustasius No Saint Helena (U.K.) No No Saint Martin (Guadalupe) No Sint Maarten (Neth) No Saint Pierre & Miquelon No (France) Saint Vincent and the No Grenadines Samoa (formerly Western No Samoa) San Marino No Sao Tome & Principe Yes Risk in all areas. Saudi Arabia Yes Risk in Asir and Jazan emirates by border with Yemen. None in the cities of Jeddah, Mecca, Medina, Riyadh and Ta’if. Scotland No MEH NY-JA-0312 Page 7 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Senegal Yes Risk in all areas. Serbia No Seychelles No Sierra Leone Yes Risk in all areas. Singapore No Slovakia No Slovenia No Society Islands (Tahiti, No Moorea, Bora-Bora) Solomon Islands Yes Risk in all areas Somalia Yes Risk in all areas. South Africa Yes Present along the border with Zimbabwe and Mozambique, specifically in Mopani, Vhembe and Waterberg district municipalities of Limpopo Province; Ehlanzeni district municipality in Mpumalanga Province and Umknanyakude in Kwazulu-Natal Province. Present in Kruger National Park. South Georgia Island (UK) No South Sandwich Islands No (UK) South Sudan (Republic of) Yes Risk in all areas Spain No Sri Lanka No Sudan Yes Risk in all areas. Suriname Yes Risk in province of Sipaliwini Province. No risk in Paramaribo. Swaziland Yes Risk in eastern areas bordering Mozambique and South Africa including all of Lubombo district and the eastern half of Hhohho, Manzini and Shiselweni districts. Sweden No Switzerland No Syria No Tahiti (Society Islands) No Taiwan No Tajikistan No Tanzania, United Rep. Yes Risk in all areas. Thailand Yes Primarily in provinces that border Burma (Myanmar), Cambodia, and Laos, and the provinces of Kalasin, Krabi (Plai Phraya District), Nakhon Si Thammarat, Narathiwat, Pattani, Phang Nga (including Phang Nga City), Rayong, Sakon Nakhon, Songkhla, Surat Thani, and Yala, especially the rural forest and forest fringe areas of these provinces. No risk in the cities of Bangkok, Chiang Mai, Chiang Rai, Koh Phangan, Ko Samui and Phuket or in the islands of Krabi Province (Koh Phi Phi, Koh Yao Noi, Koh Yao Yai, Ko Lanta and Pattaya City). Timor-Leste (East Timor) Yes Risk in Oecusse District. No risk in other districts Togo Yes Risk in all areas. Tokelau (New Zealand) No Tonga No Trinidad and Tobago No MEH NY-JA-0312 Page 8 of 11 Information obtained from the CDC Yellow Book MALARIA NOTE COUNTRY RISK Tunisia No Turkey No Turkmenistan No Turks and Caicos No Tuvalu No Uganda Yes Risk in all areas. Ukraine No United Arab Emirates (Abu No Dhabi, Dubai, Sharjah, Ajman, Umm al-Qaiwain, Ras al- Khaimah and Fujairah) United Kingdom (with No Channel Islands and the Isle of Man) United States No Upper Volta (see Burkina Faso) Uruguay No Uzbekistan No Vanuatu Yes Risk in all areas. Venezuela Yes Risk in all areas. Present in Angel Falls. Viet Nam Yes Rural areas only. None in Da Nang, Haiphong, Hanoi, Ho Chi Minh City (Saigon), Nha Trang, Qui Nhon, and the Mekong and Red River Deltas. Virgin Islands, British No (Anegada, Josh Van Dyke, Tortola, Virgin Gorda) Virgin Islands, U.S. (St. No Croix, St. John, St. Thomas) Wake Island (U.S.) No Wallis and Futuna No Western Sahara No Yemen Yes Risk in all areas except in Sana’a. Zambia Yes Risk in all areas. Zimbabwe Yes Risk in all areas.

MEH NY-JA-0312 Page 9 of 11 Information obtained from the CDC Yellow Book MEH R03/2014

Map – Mexico Page 10 of 11 Subsequent page(s) reflect the current historical record of this document.